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General NPI Number Information
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NPI Number | 1407344880
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Entity Type | Organization
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Legal Business Name | CR EMERGENCY ROOM LLC
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 1975 ALPHA DR STE 100
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City | ROCKWALL
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State | TX
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Zip | 75087-4951
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Country | US
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Telephone | 214-294-6200
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Fax | 713-637-1305
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Provider Business Mailing Address
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Address Line | 8686 NEW TRAILS DR STE 100
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City | THE WOODLANDS
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State | TX
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Zip | 77381-1176
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Country | US
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Telephone | 713-637-1146
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Fax | 281-298-5311
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | VICTOR SCHMERBECK
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Credential |
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Telephone | 713-929-2076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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